Remote UM Compliance Coordinator 3: Data & Audits

Humana Inc; Helena (MT); Remote; USD 45.000 - 60.000; Vollzeit

Benefits dieser Stelle

Remote work

Travel opportunities

Zusammenfassung

Humana Inc. is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies, procedures, and regulations. This role requires independent judgment and frequent interpretation of guidelines. Schedule emphasizes a three-day, 12-hour shift pattern within a Friday to Monday work week, with hours between 8:00 a.m.

and 9:00 p.m. ET. Travel to Humana offices may be required occasionally.

Qualifikationen

• 1 - 3 years of technical experience
• Proficient in Microsoft Word & Excel
• Strong attention to detail and accuracy
• Must be passionate about contributing to an organization focused on continuously improving consumer experiences
• Excellent verbal and written communication skills
• Clerical support background in a healthcare environment
• Ability to work independently in an agile environment under general instructions and within a team.

Aufgaben

• Review utilization management activities and documentation for compliance
• Analyze data to assess outcomes and operational metrics
• Interpret guidelines to determine appropriate actions
• Follow established guidelines and turnaround times for appeals and requests

Kenntnisse

Microsoft Word

Microsoft Excel

Attention to detail

Communication skills

Healthcare clerical

Independent worker

Agile environment

Ausbildung

Associates or Bachelor's degree in Healthcare/Business or related field

Jobbeschreibung

Humana Inc. is seeking a Compliance (UM) Coordinator 3 to review utilization management activities and ensure adherence to policies, procedures, and regulations. This role requires independent judgment and frequent interpretation of guidelines. Schedule emphasizes a three-day, 12-hour shift pattern within a Friday to Monday work week, with hours between 8:00 a.m.

and 9:00 p.m. ET. Travel to Humana offices may be required occasionally.